Outcomes Manager

Title: Outcomes Manager

Job Type: Full time

Your experience matters!

AtRehabilitation Institute of South San Antonio we are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. Here youre not just valued as an employee but as a person.

The Rehabilitation Institute of South San Antonio is a 36-bed inpatient acute rehabilitation hospital located at 12011 SE Loop 410 Access Road in San Antonio Texas. Its designed for individuals recovering from serious injuries or illnesses that have affected their ability to function independently.

This new state-of-the-art facility provides intensive patient-focused rehabilitation services including physical occupational and speech therapy. It specializes in helping patients regain mobility strength and independence after events like strokes traumatic injuries or surgeries.

As anOutcomes Managerjoining our team youre embracing a vital mission dedicated to making communities healthier. Join us on this meaningful journey where your skills compassion and dedication will make a remarkable difference in the lives of those we serve.

How youll contribute

The Outcomes Manager provides coordination of the timely and accurate data completion of the Inpatient Rehabilitation Facility-Patient Assessment Instrument (IRF-PAI) for each rehabilitation inpatient. This individual collects reviews and monitors the information contained in the IRF-PAI on each patient to ensure accuracy in the scoring of functional status and reflection status and reflection of the patients care needs as documented in the medical record and the UDS Pro-Doc system in collaboration with the interdisciplinary team. This position will assist in the ongoing monitoring of identified outcome benchmarks for the inpatient population. The Outcomes Manager has access to confidential patient information and maintains all confidentiality of all information.

ESSENTIAL FUNCTIONS:

Job Specific:

Responsible for staff orientation and ongoing education to improve QI score accuracy at admission throughout the stay and upon discharge. Serves as educator for Quality Indicators (QI) scoring according to Uniform Data System (UDS) training materials.

Serves as a resource to licensed clinicians and clinical staff regarding questions and interpretation of QI scoring guidelines according to UDS training guidelines in order to assure the accuracy of the QI scores.

Provides ongoing education to the staff of the hospital to assure accurate and timely completion of the IRF-PAI.

Responsible for staff orientation and ongoing education and facilitate biannual UDSMR staff credentialing for QI scoring.

Review medical record documentation using the medical record including UDS Pro-Doc system to support the accuracy and timeliness of the functional scores and comorbid conditions according to CMS guidelines.

Ensures that the IRF-PAI is consistent with the medical record documentation and reflects the functional status and 24 hour care needs of the patient.

Collaborates with physicians and interdisciplinary team members to ensure the most accurate assessment of the needs and strengths of patients are captured in the UDS Pro-Doc system and in the medical record.

Review current facility clinical documentation in the medical record and UDS Pro-Doc and evaluate accuracy through the use of QI Manager.

Compares actual knowledge of the patient to care provided to the patient and the information contained on the IRF-PAI. Makes appropriate corrections to the IRF-PAI in collaboration with the interdisciplinary team in order to accurately reflect the burden of care upon admission throughout the stay and upon discharge.

Investigates the Impairment Group Codes IGC and co-morbidities in collaborative manner with the physicians and coders that would allow for accurate coding of the patients stay.

Oversees/completes and analyzes and QI data ensuring the accuracy and the completion of the Inpatient Rehabilitation Facility-Patient Assessment Instrument (IRF-PAI) according to CMS guidelines and prior to electronic transmission.

Reviews the medical record documentation to ensure accuracy and to support the correct Case Mix Group (CMG) assignments

Identifies target reference dates for the completion of the IRF-PAI for all patients.

Coordinates the completion of the admission assessment of the IRF-PAI by the fourth day of the patients stay and the third day following discharge for each inpatient rehabilitation patient. May require discussions/interactions with various staff members concerning differences in reported and/or medical record documentation of functional status to complete the PAI. Uploads QI scores in UDS Pro-Doc necessary to complete the IRF PAI.

Coordinates and collaborates with HIM department to ensure timely completion and transmittal of the IRF-PAI to CMS national database.

Maintains current knowledge of the UDS Pro-Doc system and CMS IRF-PAI software and provides expertise on the software within the inpatient rehab setting and contributes to facility process improvement plans.

Maintains updated and ongoing knowledge of the regulations concerning the IRF-PAI and its completion within the inpatient rehab setting.

Has working knowledge of capabilities of UDS Pro-Doc including various reports and how to access and use.

Has working knowledge of UDS Pro-central including various reports and how to access interpret and use.

Serves as an information source and educator to IRF-PAI and UDS users.

Periodically performs medical record audits including audits of the IRF-PAI instrument clinical documentation and billing information to ensure accuracy and consistency of documentation.

Demonstrates effective critical thinking skills

Other duties as assigned.

Qualifications and requirements:

Graduation from an accredited Bachelors of Science in Nursing Associate Degree in Nursing or Nursing Diploma program or Licensed/Registered PT OT SLP

Current unrestricted state licensure as Registered Nurse (preferred) or PT OT SLP.

CRRN preferred

CPR/BCLS certification.

UDSMR PPS Certification within 3 years.

3 years of experience in the care of patients in the acute hospital or rehabilitation setting preferred.

Excellent oral and written communication and interpersonal skills.

About us
Rehabilitation Institute of South San Antonio is located inSan Antonio TX and is part ofLifepoint Health a diversified healthcare delivery network committed to making communities healthier with acute care rehabilitation and behavioral health facilities from coast to coast. From your first day to your next career milestoneyour experience matters.

EEOC Statement

Rehabilitation Institute of South San Antoniois an Equal Opportunity Employer.Rehabilitation Institute of South San Antonio is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment.